Banca de QUALIFICAÇÃO: BARBARA BRENDA DE ARAUJO FARIA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : BARBARA BRENDA DE ARAUJO FARIA
DATE: 13/06/2025
TIME: 09:00
LOCAL: https://meet.google.com/wtu-qqjy-bei
TITLE:

The International Classification of Functioning, Disability and Health and the Intrinsic Capacity as strategies of functional classification and prediction of mortality among older people in the community context of Northeast Brazil.

KEY WORDS:

International Classification of Functioning, Disability and Health. Functional Capacity. Aging. Mortality.

PAGES: 40
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Functional capacity is a hallmark of healthy aging and is influenced by various intrinsic and extrinsic factors. The core sets of the International Classification of Functioning, Disability and Health (ICF), introduced in 2001, aim to compile the main aspects that affect the functioning of specific populations. Similarly, in 2015, the concept of intrinsic capacity (IC) was introduced, referring to the composite of an individual's physical and mental capacities essential for maintaining functional ability. The ICF core set for assessing the physical health of older adults and the IC framework represent distinct concepts but share the same objective: to provide a comprehensive and multidimensional understanding of human functioning. Aim: To evaluate the relationship between intrinsic capacity and the assessment of physical function using the ICF core set, as well as to analyze the ability of both instruments to predict mortality in community-dwelling older adults over a six-year follow-up. Methods: This was a longitudinal observational study conducted in the city of Santa Cruz (RN), Brazil, involving 101 older adults (≥60 years). Sociodemographic data were collected, and physical health was assessed using the ICF core set. Intrinsic capacity was evaluated across four domains: cognitive (Leganés Cognitive Test), psychological (Center for Epidemiological Studies Depression Scale), locomotor (Short Physical Performance Battery), and vitality (handgrip strength). Mortality data up to six years after the baseline assessment were obtained through the Mortality Information System. Data were analyzed using Spearman's correlation and the Mann-Whitney U test, with statistical significance set at p < 0.05. Results: Thirteen participants (12.9%) died during the six-year follow-up. A significant weak to moderate correlation was observed between all ICF components and the IC score, except for the “Environmental Factors” component related to “Health Services.” Both the overall IC and ICF core set scores were significantly lower among participants who died. When domains and components were analyzed separately, significant differences were found in the cognition and locomotion domains of the IC, as well as in the body function and activity and participation components of the ICF core set. Conclusion: The findings suggest that both strategies are useful tools in clinical and research settings, enabling early identification of modifiable factors that influence functional decline and mortality in older adults. These results reinforce the importance of multidimensional assessment approaches to support healthy aging.

COMMITTEE MEMBERS:
Presidente - 3885543 - SAIONARA MARIA AIRES DA CAMARA
Interna - 2374850 - THAIZA TEIXEIRA XAVIER NOBRE
Externo à Instituição - JOAO AFONSO RUARO